Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Drugs Unclassified Injection
CAPE CORAL, FL
See all hospitals reporting HCPCS J3490 →Price type
Cape Coral Hospital’s median price of $543 is 1025% above the median hospital's median price ($48), higher than 92% of the 1,749 hospitals reporting HCPCS J3490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Humana humana ppo [25021501] professional · fee schedule · outpatient | $0.45 | $0.45 | $0.45 – $0.45 |
| 2 | Aetna aetna ppo [21010105] professional · fee schedule · outpatient | $0.48 | $0.48 | $0.48 – $0.48 |
| 3 | Blue Cross Blue Shield bc fl ppo [21000101] professional · fee schedule · outpatient | $0.54 | $0.54 | $0.54 – $0.54 |
| 4 | UnitedHealthcare united hmo/ppo [21040201] professional · fee schedule · outpatient | $0.82 | $0.82 | $0.82 – $0.82 |
| 5 | Cigna cigna hmo/ppo [21020101] professional · fee schedule · outpatient | $2.00 | $2.00 | $2.00 – $2.00 |
| 6 | Humana humana ppo [25021501] professional · fee schedule · inpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 7 | Aetna aetna ppo [21010105] professional · fee schedule · inpatient | $72.00 | $72.00 | $72.00 – $72.00 |
| 8 | Cigna medicare replacement [25052501] professional · percent of total billed charges · inpatientfrom % of charges | $79.71 | $79.71 | $79.71 – $79.71 |
| 9 | Blue Cross Blue Shield bc fl ppo [21000101] professional · fee schedule · inpatient | $81.00 | $81.00 | $81.00 – $81.00 |
| 10 | UnitedHealthcare united hmo/ppo [21040201] professional · fee schedule · inpatient | $123.00 | $123.00 | $123.00 – $123.00 |
| 11 | Aetna Better Health aetna healthy kids [21010201] professional · percent of total billed charges · inpatientfrom % of charges | $132.85 | $132.85 | $132.85 – $132.85 |
| 12 | Blue Cross Blue Shield bcbs medicare replacement [25050301] professional · percent of total billed charges · inpatientfrom % of charges | $132.85 | $132.85 | $132.85 – $132.85 |
| 13 | Cigna cigna hmo/ppo [21020101] professional · fee schedule · inpatient | $132.85 | $132.85 | $132.85 – $132.85 |
| 14 | Cigna medicare replacement [25052501] professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 15 | Blue Cross Blue Shield bcbs medicare replacement [25050301] professional · percent of total billed charges · outpatientfrom % of charges | $300.00 | $300.00 | $300.00 – $300.00 |
| 16 | UnitedHealthcare united hmo/ppo [21040201] facility · percent of total billed charges · bothfrom % of charges | $1,850 | $3,855 | $535.32 – $9,180 |
| 17 | Blue Cross Blue Shield bc fl ppo [21000101] facility · percent of total billed charges · bothfrom % of charges | $1,883 | $3,926 | $545.13 – $9,348 |
| 18 | Aetna aetna ppo [21010105] facility · percent of total billed charges · bothfrom % of charges | $1,884 | $3,927 | $545.33 – $9,352 |
| 19 | Cigna cigna hmo/ppo [21020101] facility · percent of total billed charges · bothfrom % of charges | $2,026 | $4,222 | $586.35 – $10,055 |
| 20 | MultiPlan claritev multiplan network [25022301] facility · percent of total billed charges · bothfrom % of charges | $2,766 | $5,764 | $800.48 – $13,727 |
Last updated: Mar 26, 2026
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